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HomeMy WebLinkAboutPermit Electrical 1994-1-2 -. ~h'. .The folloY/lng project es Gubmitted heG the following 225 FIFTH STREET zoning. Dnd doeG not roqui;. spoemc land use ELECTRICAL PERMIT APPLICATION SpRINGFIELD, OREGON 97477"01. , INSPECTION REQUEST: 726-37.69:ino ~ Ci ty Job Number q /fj to q 0 OFFICE: . 726-3759 'I -.\ ro. I r.'J.tA I;'''' 1. LO~~"G?q IN,,,pT~.uturo ,,<:Q, A. . . ( ~ ~~IiCJUPTION " 'i> Oua-:\ OU if7)?J6?.J JOB DiljCRIPTION __ /\ . /tI&-U <:rl-" Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor..:::r8 ~ to, a~1 k>t:!- ~ Phone t::>?"?/ S--7?CJ /7Rb Ci ty &vlC,~ Address , % /.-::JS lolt /9.r 7?'l.f;zuO Expiration Date &/:2-7-/'1'/ Sign~tuiot::1?~an .. OwerVName ~.Rk,/O"a.. ~ 1'11I.B!h:L.d7f" D. fe), b&>< /) 7'tt~11&,1 Supervisor License Number Expiration Date Constr Contr. Number Address Ci ty ~UA.Src7"fl/ Phone 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: DATE~----I-:(-~=<f~----------------- RECEIPT 11: II :>,cJ t:; RECEIvED BY: It . . . -: --- 3. COHPLETE FEE SCHEDULE BELOV uni to Items Cost Sum 1000 sq.ft. or less / $ 85.00 g~,.. Each additional 500 sq. ft or portion :3 tfy thereof $ 15.00 Each Manuf'd Home or Hodular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: New Residential-Single or Multi~Family per dwelling Service Included: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "Bit above New, Alteration or Extension Per Panel $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline LightinR $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE /3C9 - 5X.State Surcharge ~,~~ TOTAL . J3,6,SO .One Circui t Each Additional Circuit or with Service or Feeder Permit